{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T22:08:01Z","timestamp":1790287681194,"version":"4.1.0"},"reference-count":31,"publisher":"Cambridge University Press (CUP)","issue":"4","license":[{"start":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T00:00:00Z","timestamp":1648425600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Laryngol. Otol."],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S0022215122000858_sec_a1\"><jats:title>Background<\/jats:title><jats:p>Necrotising otitis externa is a serious infective condition. Patients are typically frail, diagnostic delay is common and severe pain is a key feature. This study aimed to qualitatively analyse patient-centred data to identify key themes in the patient's experience.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000858_sec_a2\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Open-ended questionnaires were sent to 28 patients. Responses were qualitatively analysed using a grounded theory approach. Iterative cycles were used to develop codes using a constant comparison technique. Emerging categories were refined to identify core themes.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000858_sec_a3\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>Four main themes emerged: severe pain, mental health, quality of life and diagnostic delays.<\/jats:p><\/jats:sec><jats:sec id=\"S0022215122000858_sec_a4\" sec-type=\"conclusions\"><jats:title>Conclusion<\/jats:title><jats:p>This is the first study to explore patients\u2019 perspectives in necrotising otitis externa. It indicates a need to raise awareness of necrotising otitis externa, and to improve symptom management, pain control and quality of life. This valuable information can be used to identify research priorities, guide service improvements, improve clinical care and feed into the development of a Core Outcome Set for necrotising otitis externa.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s0022215122000858","type":"journal-article","created":{"date-parts":[[2022,3,28]],"date-time":"2022-03-28T10:44:50Z","timestamp":1648464290000},"page":"356-362","source":"Crossref","is-referenced-by-count":5,"title":["Patients\u2019 experience of necrotising otitis externa: a qualitative study"],"prefix":"10.1017","volume":"137","author":[{"given":"E","family":"Owen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"R","family":"Abrar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7763-9705","authenticated-orcid":false,"given":"E","family":"Stapleton","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2022,3,28]]},"reference":[{"key":"S0022215122000858_ref12","doi-asserted-by":"publisher","DOI":"10.1017\/S0022215106002775"},{"key":"S0022215122000858_ref5","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1017\/S0022215113002259","article-title":"Necrotising otitis externa: clinical profile and management protocol","volume":"127","author":"Lambor","year":"2013","journal-title":"J Laryngol Otol"},{"key":"S0022215122000858_ref3","doi-asserted-by":"crossref","first-page":"959","DOI":"10.4103\/ajns.AJNS_90_17","article-title":"A comprehensive review of skull base osteomyelitis: diagnostic and therapeutic challenges among various presentations","volume":"13","author":"Khan","year":"2018","journal-title":"Asian J Neurosurg"},{"key":"S0022215122000858_ref25","doi-asserted-by":"publisher","DOI":"10.1177\/0003489419901139"},{"key":"S0022215122000858_ref10","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.crad.2012.02.004","article-title":"Central skull base osteomyelitis as a complication of necrotizing otitis externa: imaging findings, complications, and challenges of diagnosis","volume":"67","author":"Adams","year":"2012","journal-title":"Clin Radiol"},{"key":"S0022215122000858_ref19","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1017\/S002221511500105X","article-title":"Necrotising (malignant) otitis externa in the UK: a growing problem. 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